Description

Class will be held September 13th thru September 17th, 2021

902 51st Street

Galveston, Texas 77551

Session 0009-21

 

Camp Preview workshop will be held in TBD. 30 spots.

Info here.

 

Denial Language… How do we determine the correct intent of the policy and the coverages provided?

Do you know what that is?

It is the carrier, in their very sneaky way, removing the currently available coverages… for a small discount that will in no way ever be realized when a loss occurs. If you received a $50.00 discount to remove the indemnity portion of your policy… One sheet of OSB at the current price…

More specific? If you have 2″x 6″ fascia from 10-15 years ago, the actual size was much closer to that number than it is today. That means that when you put the new fascia beside the old fascia, there is a very noticeable difference, that ANYONE can see. A1 says put it back, just the way it was… Indemnity. A2 says we put it together with what is most commonly available… or, the cheapest. Retail.

Line of sight is denial language, and should never be used inside of a conversation about property damage. Indemnity. That is what was purchased, and nothing less should occur.

Did you have a property with 2 types of siding, multi colored paint or shingles with varying different ages? No, then indemnity says that is where you are brought back to.

Funny thing about them adding new language to a policy, or new exclusions. Cosmetic damage waivers, matching exclusions… In the attached photo, notice A1 and A2 coverages. The introduction of this language tells us one thing above all else… it was always A1, until they introduced A2 and began to give a slight discount for it.

Why the discount?

Because it is removing coverage that was… already available.

Class size is now 20, including 2 zoom participants. (Yes, we knocked some walls out.)

 

Correct Proof of Loss does not fluctuate, unless the facts dictate. Second part of that, we, nor the attorneys, have the power to “settle” a claim. Only the insured has that right. Follow up to that, and reasoning… does the insured understand what was removed, how it affects them, and what are the long term consequences on one of their largest, most coveted possessions? If you threw dookie on the wall, and demanded items that were not… “reasonable or necessary”… That is a whole different conversation.

If we are to expect professionalism, ethics, and due diligence, we must be prepared to give those things, and more. One of the strongest principles we teach, is to expect exactly what you give. That starts by not calling the process of handling insurance claims a “game”. It is not a game, and not something to be won. Suggesting it is, is trivializing the very existence of the insurance, the sacrifices made to have it, and keep it, as well as the tragedy that befalls an insured after a loss. If you do it, you allow them to do it. 

I cannot recall a single thing I have lost by keeping this philosophy. I can, and will teach you everything I can about what is has given me. Melanie and Shaun will do the same. That I know of, all past graduates feel the same… we want… no NEED to see you persevere when the odds are against you, and your back is up against the wall, you will no longer be alone. Not only us… a small army has already graduated.

We are, afterall, practitioners, not academics. We must make sure not to harm our clients while trying to help them.

Zoom… We will do Zoom again on this one class, with strict rules, and an understanding that you do not get access to the full Graduate’s Network unless you are present the whole time.

1. There will be only (2) two Zoom participants, they will be unmuted upon entry, and remain that way. (Unless folks are in and out, doing laundry, and the like, coming in and forcing class to revisit. It is as simple as that.)

2. Price will be the same. There are no discounts for taking camp via Zoom.

3. No recording. Period. Everyone deserves to speak freely, and without fear of a recording, taking something entirely out of context, and using it. Part 2 of that, we cannot respond to a subpoena to produce a video that does not exist.

4. We have another network that is growing, it is for those who have completed an online class through anything the PABC does.

5. Zoom participants will still receive a certificate of completion, it will just be via Zoom.

The class is made up of three parts.

Everyday Shaun Hodge is in legal mode from 8 am to 10 am.

Melanie takes over from 10 am – Noon with Contracts/Administrative/Front office.

I, Cal, take the helm from 1 pm to 5 pm with policy, and actual practice.

 

While our specific class topic may have one focus, the class will go over all the items listed below, just not necessarily in that order. (Why we don’t offer CE’s. We can, it is just scripted, with no variance, and not a ton of actual practice.)

We combine them for everyday use in our field, to everyday issues you have in the field. We are you…

I have no idea what the text of the previous post was… so I didn’t try to recreate it… just like a claim. Simply explained my issue, acknowledged that issue, and started over.

 

 

As promised, we will choose one Veteran that meets the criteria posted in this video. Veteran Qualifications for free Class.

If you would like to sponsor a Veteran, just reach out to us.

Below is the general syllabus. I say general because the class normally takes on a life of its own, based upon the class as a whole.

While we are certified to teach the full 24 hour class for CE, no one has ever chosen it over the nuts and bolts, so we are no longer using it as an option. It will come back later in individual modules.

Our Texas State Credentials, found @ hyper-link below.

Registered Provider: Public Adjuster Boot Camp LLC – Melanie Spoon, Shaun Hodge, and Cal Spoon

Texas Registered Provider Number: 160583

Type of Study: Classroom

Location 902 51st Street, Galveston, Texas 77551

Course length: Course will be five consecutive days, beginning Monday. Course will be eight hours per day, for a total of 40 hours. We understand that the minimum requirement for our profession is 24 hours. We are not trying to reach the minimums, we are going to exceed them, thereby assuring that anyone who has attended, and passed, will be more than capable of performing the duties of a Licensed Public Insurance Adjuster. For those who need CE, they will receive the hours credited through Sircon and a certificate of completion for 24 hours as well as a certificate of completion for the full 40-hour course.

Daily Schedule

Time                                       Activity                                              Classroom Hours

08:00 am – 10:00 am             Ethics and Law                                   2.0 hours

10:00 am – 10:15 am            Morning Break

10:15 am – 12:00 pm             Policy and Interpretation                    1.45 hours

12:00 pm – 12:30 pm            Lunch

12:30 pm – 02:45 pm            Policy and Interpretation                    2.15 hours

02:45 pm – 03:00 pm              Afternoon Break

03:00 pm – 05:00 pm              Application of lesson to a claim         2.0 hours

 

The following course topics and discussions will be gone through, thoroughly, beginning to end for the Ethics and Law portion:

• Texas Prompt Payment of Claims

Timelines

Claim Acknowledgment

Acceptance/Rejection/Additional Information Request

Payment of claim

Court decisions on Texas Prompt Payment of Claims

• Ethical duties in adjusting a claim and submitting documents on behalf of an insured.

Insurance Fraud

Recoverable Depreciation

Prior loss history

Duty to fully investigate

Sworn Proof of Loss

Examination Under Oath

 

• Texas Insurance Code Chapters 541 & 542

Duty of Good Faith and Fair Dealing

Unfair Claims Settlement Practices

Deceptive and false information regarding policy coverage.

Statutory Bad Faith

False, misleading information, failure to disclose known facts impacting the claims adjustment

Recent court decisions interpreting Chapters 541 & 542

 

• Public Adjusting 101

Public Adjuster Rules

Public Adjuster Obligations

Ethical and Legal Requirements of Public Adjusters

Conflicts of Interest and prohibited conduct

Unauthorized Practice of Law

Unauthorized Practice of Public Adjusting

 

• Recent appellate decisions concerning Public Adjusters and the appraisal process

Public Adjuster liens

Endorsement of claims check (fiduciary duties)

Rights of Public Adjusters

Interpretation of appraisal provisions (competent and independent)

Survival of bad faith and prompt payment of claims post appraisal

Allowed compensation of appraiser’s expert witness

 

The following course topics and discussions will be gone through, thoroughly, beginning to end for the general knowledge portion:

• Insurance fundamentals – Updated 03/03/2018

Insurance Defined & the Principle of Risk

Elements & Characteristics of Insurance Contracts

Important Terms Pertaining to Insurance Contracts

The State Insurance Department

 

• Insurance Companies – Updated 01/19/2018

Insurance Companies – Classifications

Insurance companies – Agents, Producers, Brokers

 

• Property Insurance Concepts – Updated 03/08/2018

Property Insurance Concepts

Loss Valuation & Settlement methods

 

• Liability Insurance Concepts – Updated 01/05/2018

Liability Insurance Concepts- Updated 01/05/2018

 

• Unfair Claim Settlement Practice Act – Updated 10/23/2017

Unfair Claim Settlement Practice Act – Updated 10/23/2017

 

• Standard Fire Policy

Standard Fire Policy- Module A

The Standard Fire Policy – Module B

 

• Dwelling Insurance

Dwelling Insurance – A

Dwelling Insurance – B

Dwelling Insurance – C
Dwelling Insurance – D

Dwelling Insurance – E

 

• Homeowners Insurance Texas – Updated 3/28/2018

Eligibility & Definitions

The Homeowner Forms

Exclusions; Section I in Detail

Exclusions; Limits of Liability; Coverage D

Additional Coverages

Section I – Property Conditions

Section II – Liability Coverages and Exclusions

Liability Exclusions and Additional Coverages

Section I and II Conditions

 

• Personal Inland Marine Insurance

Personal Inland Marine Insurance

 

• Personal Watercraft & Yacht Policies – Updated 7/27/2017

The Personal Watercraft & Yacht Policies – Updated 7/27/2017

The Yacht Policy – 7/27/2017

 

• Insurance Claims Adjusting

Introduction to Claims Adjusting – Updated 11/01/2017

Adjusting Insurance Claims — Updated 11/01/2017

 

• Adjusting Property Loss Claims – Updated 03/02/2017

Adjusting Property Loss Claims – A

Adjusting Property Loss Claims – B

 

• Texas Public Adjuster Law

Texas Public Adjuster Law – Updated 08/03/2018

 

• Personal Automobile Insurance

Personal Auto Policy, Eligibility, Rating Factors

Part A Liability Coverage and Exclusions

Part B Medical Payments; Part C Uninsured Motorist; Part D Coverage for Damage to your Auto

Limits of Liability; Parts E and F Conditions; Other Provisions; Endorsements

 

• Commercial Package Policies & The Business Owners Policy – Updated 11/10/2017

Introduction to Commercial Package Policies and the BOP

BOP Eligibility and Coverages

Additional Coverages; Extensions of Coverage

Liability Coverage; Optional Coverages and Endorsements

 

• Commercial Property Insurance – Updated 6/1/2017

Introduction to Commercial Property Insurance

Property not covered

Commercial Property Conditions

Cause of Loss Forms

Business Income (Time Element)

Miscellaneous Property Forms and Endorsements

 

• Equipment Breakdown Coverage

Coverages and Extensions

Deductibles, Endorsements, Exclusions

 

• Umbrella & Excess Liability Coverage

Personal and Commercial Insurance

 

• Commercial Inland Marine Insurance

Commercial Inland Marine

Commercial Property Floaters Risks

Bailee Forms and Dealers Policies

Loss Conditions

Conditions (cont.); Exclusions

 

• Ocean Marine Insurance

Introduction to Ocean Marine Insurance; Implied Warranties

Hull Coverage

Cargo & Freight Insurance; Ocean Marine Forms, Perils & Exclusions

Ocean Marine Claims Handling and Payment of Premium

• • • Aviation Insurance

Aircraft Hull Policies, Aircraft Liability Coverages, Definitions

Admitted Aircraft Liability, Hangar keeper’s Liability, Exclusions

• Bonding & Surety – Updated 06/01/2017

Bonding & Suretyship, Fidelity Bonds and Surety Bonds

Contract Surety Bonding and Financial Institution Bonds

 

All course work will be performed through the online version of Insurance-Schools.com Public Insurance Adjuster course in an open discussion classroom setting. This is being done for many reasons, I will list just a few.

1. We have administrative rights to all tests and scores taken, and can submit those, as needed by the department, to confirm the effectiveness, participation, and general amount of time spent by time logged in, and tests taken. (Attendance, roll call, and exit.)
2. The material provided by Insurance-Schools.com has already been approved by the department and will not be changed or deviated from in our classrooms. We will actually discuss them in great detail, with different scenarios.
3. Insurance-Schools.com incorporates any new legislation affecting the rules that govern us, as you can see, all versions above carry the latest updates.
4. We used the very same program to obtain our initial Texas license, and have used them whenever necessary to obtain licensure in other states.
5. Courses will be administered via laptops we provide, specifically and solely for this purpose, and will remain in our possession at all times, save for theft, or any other instance out of our control.

What can you expect from this Session?

Students who have taken and successfully completed our course should be able to read and understand common policy language and conditions. This would include exclusions, endorsements, and claim filing procedures. After each 6-hour class day, there will be an additional 2 hours dedicated to the open discussion, and actual application, based off our collective knowledge in the field. This equivalates to 40 actual classroom hours, more than the required 24. Finally, if the student is not already licensed, that student should be able to schedule, take, and pass the exam provided by Pearson VUE, then be capable of performing their duties once a license is obtained.

We look forward to helping insurance professionals maintain the highest standards possible, by raising those very standards.

CANCELLATION – REFUND POLICY

All cancellations must be received in writing on or before the 14^th day prior to the commencement of the course.    Cancellations requests received in writing on or before the 14^th day will result in a refund of the registration fee less a 20% administrative charge.   Any cancellations less than 14 days prior to the course will result in the forfeiture of the registration fee.     Cancellation requests must be made in writing to the registrar at Public Adjuster Boot Camp Attention: Melanie Spoon at 902 51^st Street, Galveston, TX 77551-4110.